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People who desperately want or need to have a body part amputated have something called "body integrity disorder".
There have been studies done on people who have had this treated by removing the limb in question, and much like surgery for a person with gender dysphoria it is a cure.
Sad that this man had been begging for so many years and instead of finding appropriate medical help ended up dying.
It did say he was in constant pain, i assumed it was literal pain in his leg.
It would have been a physical and mental anguish. Sadly people with this condition struggle to live their daily lives with the dead limb.
A circular saw?????
Recip saw is the way to go.